Joseph Albert Wanders, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1915258 Issued in IL

Practice address

233 W St Charles Rd
Lombard, IL 60148-2232

Phone

(630) 916-4511

Fax

(630) 916-8557

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 9, 2017 through Feb 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph a. Wanders DDS LTD.

  • General Practice Dentistry
  • Lombard, IL
  • NPI 1548727738
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598871295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W ST CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482232",
            "telephone_number": "630-916-4511",
            "fax_number": "630-916-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W ST CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482232",
            "telephone_number": "630-916-4511",
            "fax_number": "630-916-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDERS",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "1915258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antwainette Walker
• Jovante Antwon Wallace, PHARM.D.
• Jennifer M Walli
• Vincent Walsh, PA-C
• Katherine Walter Easley, FNP-BC
• Wang Acu-Chirpractic Clinic, PC
• Kelly Ryan Warf, AU.D.
• Jonay Washington
• Valerie Watts
• We Care Physicians Inc

• Dentist in Lombard, IL
• Providers in Lombard, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.